Experience in the treatment of liver abscesses.

Authors

  • A. Kutovoy
  • A. Klishyn
  • S. Kosulnikov
  • K. Kravchenko
  • S. Tarnopolskiy

DOI:

https://doi.org/10.26641/2307-0404.2018.4.152997

Keywords:

Liver abscesses, diagnostics, surgical treatment

Abstract

The paper presents the results of diagnosis and treatment of patients with liver abscesses. In the surgery of Dnipropetrovsk Regional Hospital named after І.І. Mechnikov 183 patients diagnosed with liver abscess aged 18 to 81 years were treated. In 118 (64.5%) patients the period from the first complaints to the diagnosis was up to 1 month, in 48 (26,2%)from 1 to 3 months,in 15 (8,2%)from 3 to 6 months, in 2 (1.1%) from 6 to 12.To diagnose abscesses of the liver ultrasound of abdominal cavity, computer tomography, laparoscopy were used. Treatment of liver abscesses included both conservative therapy and surgical intervention. Only 14 (7.6%) patients received conservative treatment. Surgical treatment included minimally invasive interventions under U.S. control, laparoscopic, open drainage and resection techniques. The method of choice of surgical treatment for patients with uncomplicated liver abscesses with a diameter of 3 cm or more was echocontrolled peritoneal pelvic drainage, performed in 146 (79.8%) patients. Complications of surgical treatment were found in 15 (8.2%) cases: drainage dislocation –in 12 (6.6%) patients, purulent fistula – in 1 (0.5%), intestinal obstruction – in 1 (0.5%), peritonitis –in 1 (0.5%).

Author Biographies

A. Kutovoy

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine»
V. Vernadsky str., 9, Dnipro, 49044, Ukraine

A. Klishyn

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine»
V. Vernadsky str., 9, Dnipro, 49044, Ukraine

S. Kosulnikov

ME«Dnipropetrovsk Regional Clinical Hospital named after I.I. Mechnikov»
Soborna sq., 14, Dnipro, 49005, Ukraine

K. Kravchenko

ME«Dnipropetrovsk Regional Clinical Hospital named after I.I. Mechnikov»
Soborna sq., 14, Dnipro, 49005, Ukraine

S. Tarnopolskiy

ME«Dnipropetrovsk Regional Clinical Hospital named after I.I. Mechnikov»
Soborna sq., 14, Dnipro, 49005, Ukraine

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How to Cite

1.
Kutovoy A, Klishyn A, Kosulnikov S, Kravchenko K, Tarnopolskiy S. Experience in the treatment of liver abscesses. Med. perspekt. [Internet]. 2019Jan.8 [cited 2024Nov.13];23(4):59-63. Available from: https://journals.uran.ua/index.php/2307-0404/article/view/152997

Issue

Section

CLINICAL MEDICINE